| NPI | 1871762781 |
|---|---|
| Former Name | CALLIE JUNG ONEESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301015203) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 630015203) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2020-04-24 |